0001493152-21-019249.txt : 20210810 0001493152-21-019249.hdr.sgml : 20210810 20210810214317 ACCESSION NUMBER: 0001493152-21-019249 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210805 FILED AS OF DATE: 20210810 DATE AS OF CHANGE: 20210810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lindsay Mark F. CENTRAL INDEX KEY: 0001835542 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39796 FILM NUMBER: 211161754 MAIL ADDRESS: STREET 1: 9137 RIDGELINE BOULEVARD, SUITE 135 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vivos Therapeutics, Inc. CENTRAL INDEX KEY: 0001716166 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 813224056 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9137 RIDGELINE BOULEVARD STREET 2: SUITE 135 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 BUSINESS PHONE: (866)908-4867 MAIL ADDRESS: STREET 1: 9137 RIDGELINE BOULEVARD STREET 2: SUITE 135 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 FORMER COMPANY: FORMER CONFORMED NAME: Vivos BioTechnologies, Inc. DATE OF NAME CHANGE: 20170901 4 1 ownership.xml X0306 4 2021-08-05 0 0001716166 Vivos Therapeutics, Inc. VVOS 0001835542 Lindsay Mark F. 9137 S. RIDGELINE BLVD, SUITE 135 HIGHLANDS RANCH CO 80129 1 0 0 0 Stock Option (Right to Buy) 2.72 2021-08-05 4 A 0 30000 2.72 A 2026-08-05 Common Stock 46667 46667 D 30,000 stock options granted on August 5, 2021. One-half vested immediately and one-eighth vests quarterly every three months through August 5, 2022. /s/ Brad Amman as attorney-in-fact for Mark F. Lindsay 2021-08-10